Some Practical Aspects of the Diagnosis and Management of Shoe Dermatitis

Contact allergy in Indonesian patients with foot eczema attributed to shoes

“…Nickel sensitivity plays a minor role in shoe dermatitis. Fisher ; nevertheless found several cases caused by metallic nickel sulphate in shoe buckles, eyelets or other accessories. In this study, six patients had nickel sensitivity, but only two had a history of eczema related to shoe buckles.…”

“…However, in this case, it is not certain that the allergy was caused by the leather dye since the result after patch testing with suspected shoe material was doubtful. According to the literature, primary dye dermatitis caused by leather shoes is rare . This could be due to the firm fixation of dye in leather products.…”

“…According to the literature, primary dye dermatitis caused by leather shoes is rare. 2,45 This could be due to the firm fixation of dye in leather products. Allergies to shoe dye appear in patients who have redyed their shoes, 45 patients allergic to dye in fabric or plastic shoes 12 or patients allergic to stocking dye.…”

“…1 A patient is diagnosed with allergic shoe dermatitis based on his history, the presence of skin lesions and positive patch test reactions to one or more allergens in shoes; another indication is the absence of dermatitis when the patient wears proper substitute shoes. 2 Data on the prevalence of allergic shoe dermatitis are available from patch test clinics and various proportions of positive patch tests to allergens in shoes were reported. 1,[3][4][5][6] The highest prevalence has been recorded in warm climates 1,5,6 where heat, humidity and conditions inside the shoe like friction, sweating, pressure and occlusion in conjunction with various chemicals in shoe materials contribute to the prevalence of shoe dermatitis.…”

Contact Dermatitis

“…Dermatitis caused by shoes is a complex problem requiring special tests and special footwear. 8 Household detergents, cleansers and grease removers deserve special attention. Oven cleaners must be used with great care to avoid skin irritation.…”